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目的探究心内科老年患者治疗期间心源性猝死的临床病因。方法 60例心内科心源性猝死的老年患者为研究对象,分析患者的临床资料,对老年猝死患者的病因进行统计分析,总结猝死的病因。结果 60例心内科心源性猝死的老年患者中,冠心病猝死患者25例(41.67%),高血压心脏病猝死患者15例(25.00%),风湿性心脏病猝死患者10例(16.67%),急性心肌炎猝死患者4例(6.67%),肥厚性心肌病猝死患者3例(5.00%),肺源性心脏病(肺心病)猝死患者2例(3.33%),感染性心膜炎猝死患者1例(1.67%)。冠心病猝死率最高。冠心病中不稳定型心绞痛猝死患者11例(44.00%),急性心肌梗死猝死患者9例(36.00%),稳定型心绞痛猝死患者3例(12.00%),其他冠心病猝死患者2例(8.00%)。不稳定型心绞痛猝死率最高。结论心内科老年患者治疗期间心源性猝死的临床病因主要以不稳定型心绞痛以及急性心肌梗死的冠心病为主,因而医务人员需要加强对该类老年患者的监测,积极做好防护急救措施,最大限度的降低心内科老年患者治疗期间心源性猝死的发生率。
Objective To investigate the clinical etiology of sudden cardiac death during the treatment of elderly patients in cardiology department. Methods Sixty elderly patients with sudden cardiac death who were admitted to Department of Cardiology were enrolled in this study. The clinical data of the patients were analyzed. The causes of sudden death in the elderly were statistically analyzed and the causes of sudden death were summarized. Results Among the 60 cases of sudden cardiac death in cardiology, 25 cases (41.67%) died of sudden cardiac death, 15 cases (25.00%) died of sudden cardiac death from hypertension, and 10 cases (16.67%) died of sudden death from rheumatic heart disease. , Sudden cardiac death in 4 cases (6.67%), sudden hypertrophic cardiomyopathy in 3 patients (5.00%), patients with sudden death from pulmonary heart disease (pulmonary heart disease) in 2 patients (3.33%), sudden death in patients with infectious myocarditis 1 case (1.67%). The highest rate of sudden death of coronary heart disease. 11 cases (44.00%) of patients with sudden unstable angina pectoris, 9 cases (36.00%) of sudden death from acute myocardial infarction, 3 cases (12.00%) of sudden death from stable angina pectoris and 2 cases (8.00% ). Unstable angina has the highest rate of sudden death. Conclusion The clinical causes of sudden cardiac death during the treatment of elderly patients in cardiology department are mainly unstable angina pectoris and coronary heart disease of acute myocardial infarction. Therefore, medical staff need to strengthen the monitoring of these elderly patients and actively make protective and emergency measures, Minimize the incidence of cardiac sudden death during the treatment of elderly patients in cardiology department.